Ancestral childhood environmental exposures occurring to the grandparents and great-grandparents of the ALSPAC study children

Background: Cohort studies tend to be designed to look forward from the time of enrolment of the participants, but there is considerable evidence that the previous generations have a particular relevance not only in the genes that they have passed on, their cultural beliefs and attitudes, but also in the ways in which previous environmental exposures may have had non-genetic impacts, particularly for exposures during fetal life or in childhood. Methods: To investigate such non-genetic inheritance, we have collected information on the childhoods of the ancestors of the cohort of births comprising the original Avon Longitudinal Study of Parents and Children (ALSPAC). The data collected on the study child's grandparents and great grandparents comprise: (a) countries of birth; (b) years of birth; (c) age at onset of smoking; (d) whether the ancestral mothers smoked during pregnancy; (e) social class of the household; (f) information on 19 potentially traumatic situations in their childhoods such as death of a parent, being taken into care, not having enough to eat, or being in a war situation; (g) causes of death for those ancestors who had died. The ages at which the individual experienced the traumatic situations distinguished between ages <6; 6-11, and 12-16 years. The numbers of ancestors on which data were obtained varied from 1128 paternal great-grandfathers to 4122 maternal great grandmothers. These ancestral data will be available for analysis to bona fide researchers on application to the ALSPAC Executive Committee.

Pama-Nyungan grandparent systems change with grandchildren, but not cross-cousin terms or social norms

Kinship is a fundamental and universal aspect of the structure of human society. The kinship category of 'grandparents' is socially salient, due to grandparents' investment in the care of the grandchildren as well as to older generations' control of wealth and cultural knowledge, but the evolutionary dynamics of grandparent terms has yet to be studied in a phylogenetically explicit context. Here, we present the first phylogenetic comparative study of grandparent terms by investigating 134 languages in Pama-Nyungan, an Australian family of hunter-gatherer languages. We infer that proto-Pama-Nyungan had, with high certainty, four separate terms for grandparents. This state then shifted into either a two-term system that distinguishes the genders of the grandparents or a three-term system that merges the 'parallel' grandparents, which could then transition into a different three-term system that merges the 'cross' grandparents. We find no support for the co-evolution of these systems with either community marriage organisation or post-marital residence. We find some evidence for the correlation of grandparent and grandchild terms, but no support for the correlation of grandparent and cross-cousin terms, suggesting that grandparents and grandchildren potentially form a single lexical category but that the entire kinship system does not necessarily change synchronously.

Trajectories of childhood anxiety disorders in two generations at high risk

BACKGROUND

The course of anxiety disorders during childhood is heterogeneous. In two generations at high or low risk, we described the course of childhood anxiety disorders and evaluated whether parent or grandparent major depressive disorder (MDD) predicted a persistent anxiety course.

METHODS

We utilized a multigenerational study (1982-2015), following children (second generation, G2) and grandchildren (third generation, G3) of generation 1 (G1) with either moderate/severe MDD or no psychiatric illness. Psychiatric diagnoses were based on diagnostic interviews. Using group-based trajectory models, we identified clusters of children with similar anxiety disorder trajectories (age 0-17).

RESULTS

We identified three primary trajectories in G2 (N = 275) and G3 (N = 118) cohorts: "no/low anxiety disorder" during childhood (G2 = 66%; G3 = 53%), "nonpersistent" with anxiety during part of childhood (G2 = 16%; G3 = 21%), and "persistent" (G2 = 18%; G3 = 25%). Childhood mood disorders and substance use disorders tended to be more prevalent in children in the persistent anxiety trajectory. In G2 children, parent MDD was associated with an increased likelihood of being in the persistent (84%) or nonpersistent trajectory (82%) versus no/low anxiety trajectory (62%). In G3 children, grandparent MDD, but not parent, was associated with an increased likelihood of being in the persistent (83%) versus nonpersistent (48%) and no/low anxiety (51%) trajectories.

CONCLUSION

Anxiety trajectories move beyond what is captured under binary, single time-point measures. Parent or grandparent history of moderate/severe MDD may offer value in predicting child anxiety disorder course, which could help clinicians and caregivers identify children needing increased attention and screening for other psychiatric conditions.

Is grandparents' social class associated with adult grandchildren's oral health? Analysis of two British cohorts

OBJECTIVES

No studies have taken a multigenerational approach to the study of oral health inequalities. This study investigated whether grandparents' social class was associated with adult grandchildren's oral health.

METHODS

Data from the 1958 National Child and Development Study (NCDS) and the 1970 British Cohort Study (BCS) were analysed. Cohort members' occupational social class and persistent trouble with mouth, teeth or gums in the past 12 months were reported at ages 33 years in the NCDS and 26 years in the BCS. Information on grandparents' and parents' social class was reported by the cohort members' mothers during childhood. The association between grandparents' social class and cohort members' report of persistent trouble with mouth, teeth or gums was tested in marginal structural models (MSMs).

RESULTS

Data from 9853 NCDS and 6487 BCS participants were analysed. Grandparents' social class was not associated with cohort members' report of persistent trouble with teeth, gums or mouth in the NCDS sample (odds ratios of 1.25 [95% Confidence Interval: 0.95-1.65] for social class IV/V and 1.12 [95% CI: 0.76-1.64] for social class IIINM-M relative to social class I/II) or the BCS sample (odds ratios of 0.98 [95% CI: 0.68-1.43] for social class IV/V and 0.88 [95% CI: 0.67-1.16] for social class IIINM-M relative to social class I/II).

CONCLUSION

This study provided no support for an independent association between grandparents' social class and adult grandchildren's oral health.

Old Age-Related Stereotypes of Preschool Children

Ageist attitudes have been discovered in children as early as 3 years. However, so far very few studies, especially during the last decade, have examined age-related stereotypes in preschool children. Available questionnaires adapted to this population are scarce. Our study was designed to probe old age-related views in 3- to 6-year-old children (n = 126) using both an open-ended Image-of-Aging question and a new pilot tool, called Young Children's Views of Older People (YCVOP), based on a visual analog scale illustrated by cartoons. Parental views of older people were also collected. The YCVOP was easy to use and internally consistent. Both that scale and the Image-of-Aging question showed globally favorable views of older people in preschool children, especially regarding warmth and smartness traits. However, assessment of physical capacity and independence tended to be negative. The overall results were in line with the low-competence, high-warmth stereotype of older people that is common in young adults and school-age children and was found in parents in the current study (Stereotype Content Model). Strikingly, children's views did not correlate with those of their parents': The children's responses appeared more personal and emotional, while the parents tended to adopt global stereotypes. The preschoolers' views of older people were much more positive in those who spontaneously evoked their grandparents when asked to think of an old person. In conclusion, this study, introducing a new visual tool to assess age-related stereotypes, suggests ambivalent views of older adults start in preschool children and are influenced by grandparents relationships.

"An Extraordinarily Pernicious Influence": The Discursive Figure of the Spoiling Grandmother before 1937

Discourses about the dangers of spoiling children and images of grandparents came together in nineteenth-century literature, with the literary figure of the spoiling grandmother emerging as familiar cultural currency. From there, it would become a concern for the generation of psychoanalysts after Freud, for whom the grandmother represented a dangerous supplement to the importance of the mother for a child's psychological development. The literary and the psychological uses of the figure of the spoiling grandmother then intersected in scientific and popular guidance for parents in the battle for authority regarding the right way to engage in childcare.

"My meemaw is a Cool Ass Person": Family Members as Role Models of Resilience for Sexual and Gender Diverse People of Color

The families of people of Color and indigenous people (POCI) are often analyzed as hostile institutions for sexual and gender diverse (SGD) adults. Using 58 interviews with SGD POCI from the Strengthening Colors of Pride 2018 Interview Study, we argue that Black and Latinx SGD adults gain resilience from family role models, mostly resilient mothers and othermothers. These resilient family members model three things: 1) how to overcome adversity and trauma, 2) being providers, and 3) emotional strength. This resilient modeling facilitates the adult resilience of SGD POCI who are navigating the complexity of intersections of race, sexuality, gender, poverty, and childhood trauma.

Knowledge, attitudes and practices of grandmothers related to breastfeeding: a meta-synthesis

OBJECTIVE

Evaluate the knowledge, attitudes and practices of grandmothers that support or discourage the breastfeeding process.

METHOD

This is a meta-synthesis based on the theoretical and methodological framework of meta-ethnography developed by Noblit and Hare. A critical evaluation of the articles was conducted using the consolidated criteria for reporting qualitative research (Coreq). Primary and secondary constructs derived from the results of nine articles were grouped into a new theory, leading to tertiary constructs that were presented in a diagram based on the functionality of Sanicola's Social Network Theory.

RESULTS

Grandmothers know the benefits of breastfeeding, the importance of a special diet and proper hydration for the production of good quality milk, but report inadequacies in the treatment of breast complications and the need for breast milk complementation before the sixth month of life. These aspects were also observed: religious interference, opposition of ideas about breastfeeding, and family decisions based on the grandmother figure.

CONCLUSION

Through knowledge, attitudes and practices, grandmothers, central figures in breastfeeding support, support their daughters and daughters-in-law in breastfeeding or discourage breastfeeding with contrary opinions and inadequate guidance.

Financial opportunity costs and deaths among close kin are independently associated with reproductive timing in a contemporary high-income society

Evolutionary demography predicts that variation in reproductive timing stems from socio-ecologically contingent trade-offs between current and future reproduction. In contemporary high-income societies, the costs and benefits of current reproduction are likely to vary by socioeconomic status (SES). Two influential hypotheses, focusing on the parenthood 'wage penalty', and responses to local mortality have separately been proposed to influence the timing of parenthood. Economic costs of reproduction (i.e. income loss) are hypothesized to delay fertility, especially among high childhood SES individuals who experience greater opportunities to build capital through advantageous education and career opportunities. On the other hand, relatively low childhood SES individuals experience higher mortality risk, which may favour earlier reproduction. Here, we examine both hypotheses with a representative register-based, multigenerational dataset from contemporary Finland (N = 47 678). Consistent with each hypothesis, the predicted financial cost of early parenthood was smaller, and mortality among close kin was higher for individuals with lower childhood SES. Within the same dataset, lower predicted adulthood income and more kin deaths were also independently associated with earlier parenthood. Our results provide a robust demonstration of how economic costs and mortality relate to reproductive timing. We discuss the implications of our findings for demographic theory and public policy.

Grandparental Childcare for Biological, Adopted, and Step-Offspring: Findings From Cross-National Surveys

Based on kin selection theory, amounts of grandparental investment should reflect the probability to share common genes with offspring. Adoption may represent a special case, however, yet grandparental investment in adopted children has previously been both theoretically misconstrued and little investigated. Here, we study for the first time how grandparental childcare provision is distributed between biological, adopted, and step-offspring. Using Generations and Gender Surveys (n = 15,168 adult child-grandmother and 12,193 adult child-grandfather dyads) and the Survey of Health, Ageing, and Retirement in Europe (n = 17,233 grandmother-adult child and 13,000 grandfather-adult child dyads), we find that grandparents were less likely to provide care to stepchildren than to adopted and biological children, but no difference between adopted and biological children. These findings were present in both data sets and for both grandmothers and grandfathers, after several potentially confounding factors were taken into account. The stepchild disadvantage is in line with kin selection theory. The congruent amounts of care provided to adopted and biological children may reflect similar levels of adult-child attachment, selection effects, and greater need in adoptive families, as well as some degree of genetical relatedness in the case of kin adoption. The study provides new evidence of biased kin investments in contemporary societies and stresses the importance of psychological motivation and attachment in evolutionary studies of kin investment.

The association between birthweight and grandparental type 2 diabetes and cardiovascular disease in a multiethnic population

Intergenerational links of chronic disease have been suggested, as birthweight (BW) is associated with cardiovascular disease (CVD) and type 2 diabetes (T2D) in both parents and grandparents. However, most studies investigating these relationships have used relatively homogenous, white, majority populations. This study aimed to investigate the association between BW and CVD and T2D in a multiethnic population, that is, where the parents and grandparents often developed in a different environment from that where the child was born. Participants were women from a population-based cohort study of pregnant women (STORK Groruddalen), attending Child Health Clinics for antenatal care in three administrative city districts in Oslo, Norway, 2008-2010. Information about socioeconomic and lifestyle factors were collected among mothers and fathers. Parents reported history of CVD or T2D among grandparents. In logistic regressions, higher BW z-scores were associated with lower odds of T2D among maternal (OR 0.71 (95% CI 0.53, 0.97) and paternal (0.68 (0.49, 0.94) grandmothers after adjustments for parental and grandmothers' characteristics. BW was not associated with CVD, but the association in maternal grandfathers was borderline significant. Our results indicate intergenerational transmission of chronic diseases like T2D in a multiethnic population.

Stress-related mental health and growth among first-time grandparents: The moderating role of family support

Grandparents play a significant role in modern society, often while struggling to juggle the expectations, demands, and commitments of career and family. The current study examined the unique and combined contribution of stress-related variables associated with multiple roles, such as work stress over commitment, economic stress, and grandchild care burden, to mental health and personal growth of first-time grandparents. The study also examined the role of family support as a moderator of these associations. One hundred ninety-seven first-time Israeli grandparents were asked to complete a series of self-report questionnaires. Higher levels of work-related stress were associated with lower mental health, whereas grandchild care burden was associated with higher personal growth. Self-mastery and family support contributed to the prediction of mental health. When family support was high, work commitment was positively related to mental health, and economic stress was positively related to personal growth. The findings point to the crucial role of family support in balancing and preserving resources that are important to the mental health of first-time grandparents, while enabling grandparents to be challenged and thrive through their stressors. Therapists who meet with first-time grandparents in the community should take these factors into account when assisting them in adjusting to their new role.

Love, Listen and Learn: Grandmothers' Experiences of Grief Following Their Child's Pregnancy Loss

OBJECTIVES

In Australia, 15-20% of pregnancies result in miscarriage, and 0.69% in stillbirth. Pregnancy loss is a distressing experience for parents, with many turning to their own parents for support. Pregnancy loss has been identified as an ambiguous loss, leading to disenfranchised grief. However little research has been conducted regarding grandparents' experiences following pregnancy loss. Much of what is known comes indirectly from family studies of grief and loss. This study aimed to explore grandparents' experiences of loss and grief, following a child's pregnancy loss.

DESIGN

A grounded theory approach using a qualitative inductive thematic analysis research design was employed. Individual participant interviews provided the data for analysis which was conducted using a six-step approach.

METHODS

Interviews were conducted with 14 grandmothers. Interviews were semi-structured, with open-ended questions. Thematic Analysis was applied using Braun and Clarkes' (2013) approach to analysis.

RESULTS

Five themes were identified: Pregnancy loss is a grief like no other, Excited anticipation - then nothing, Ambiguity following pregnancy loss exacerbates grief, Grief is isolating, Multiple losses, changed family relationships, and Ceremonies and mementoes: Tangible, with lasting benefits for grandparents.

CONCLUSIONS

Early access to information and guidance, ongoing peer support with flexible delivery options, and involvement in memory making activities could reduce ambiguity and disenfranchisement. Increasing community education and participation in raising awareness was identified as a way for grandparents to honour their loss and support others. Further research could explore grandfathers' experiences, the longer-term outcomes for grandparents and families, and the impact of support strategies.

The Experiences and Support Needs of Grandparents of Children Born With Cleft Lip and/or Palate

OBJECTIVE

The birth of a child with a cleft lip and/or palate (CL/P) can have a significant emotional and social impact on parents. Yet, the impact on the wider family is rarely investigated. Grandparents are becoming increasingly involved in the care of their grandchildren and may therefore have support needs of their own. The aim of the current study was to explore the experiences and support needs of grandparents of children born with CL/P.

DESIGN

Individual semistructured telephone interviews were carried out with 12 grandparents of children born with CL/P and were analyzed using inductive thematic analysis.

RESULTS

Five themes were identified (1) emotional impact of CL/P on grandparents, (2) grandparents' social experiences, (3) grandparents' involvement, (4) grandparents' information needs, and (5) grandparents' support needs. Participants experienced difficult emotions around the time of diagnosis and were concerned about the child's treatment and future experiences. Participants played a significant role in supporting the whole family, but received little information or support themselves.

CONCLUSIONS

Grandparents reported experiences comparable to published literature on parents. Clinicians and charitable organizations could consider how existing resources could be made more accessible to and/or adapted for wider family members, including grandparents.

The Role of Grandchildren's Own Age-Related Communication and Accommodation From Grandparents in Predicting Grandchildren's Well-Being

This study examined how the accommodative environments experienced from grandparents and grandchildren's own age-related communication are indirectly associated with grandchildren's life satisfaction, depressive symptoms, and loneliness, via grandchildren's self-efficacy with respect to aging. The communication experienced from grandparents was classified as accommodative, ambivalent, and mixed-accommodative chatter. Grandchildren were classified into engaged, disengaged, bantering, and disengaged-joking profiles based on their own age-related communication. Grandchildren who experienced accommodative chatter were likely to be engaged and disengaged communicators about age-related issues; grandchildren who experienced mixed-accommodative chatter were likely to be bantering communicators about age-related issues. Relative to engaged communicators, disengaged-joking communicators demonstrated lower life satisfaction, more depressive symptoms, and greater loneliness, via lower self-efficacy with respect to aging. Patterns of accommodation and nonaccommodation from grandparents may place grandchildren on specific trajectories for communicating about age, and grandchildren's own communication may be consequential for well-being even at relatively young periods of the life span.

Exploring the Role of Grandparents in the Feeding of Grandchildren Aged 1-5 Years

OBJECTIVE

Early childhood is a crucial time for the development of eating behaviors and food preferences. With increased labor force participation by Australian mothers of young children, grandparents are acting as the main informal carers of grandchildren. Therefore, grandparents have the capacity to influence the feeding of young children and thus their eating behaviors.

DESIGN

Eleven semistructured qualitative interviews.

SETTING

Suburban Adelaide, South Australia.

PARTICIPANTS

Grandparents (n = 11; 9 grandmothers and 2 grandfathers).

PHENOMENON OF INTEREST

To gain insight into grandparental perspectives, beliefs, and opinions regarding the feeding of grandchildren aged 1-5 years.

ANALYSIS

Interviews were manually transcribed and coded, and codes were synthesized into common themes.

RESULTS

Four major themes emerged: (1) intergenerational differences (between grandparents and parents); (2) maintaining familial relationships; (3) treating grandchildren with food, and (4) nutritional efficacy. Grandparents thoughtfully managed familial relations, including intergenerational differences, in relation to feeding grandchildren. They showed some cognitive dissonance with regard to provision of treat foods (defined as discretionary foods) in which grandparents simultaneously prioritized healthy foods and treats.

CONCLUSIONS AND IMPLICATIONS

Grandparents' social role in the complex psychosocial space of child feeding warrants serious recognition and deeper understanding to engage them fully as stakeholders in children's nutritional health.

Measures for social support in raising a child with a disability: A scoping review

BACKGROUND

The benefits of social support for caregivers raising a child with a disability have been identified in the literature. These benefits include the improvement of the mental and physical well-being of the caregivers, improvement in caregiving styles, and overall improvement of family quality of life. Whilst the benefits of social support are widely reported, the definitions and measures of social support in the literature are varied.

METHOD

A scoping review was therefore undertaken to identify and describe the tools used to measure social support of primary caregivers (i.e., parents or grandparents) raising a child (0-18 years) with a congenital disability in international studies. Ten databases were systematically searched.

RESULTS

Sixteen studies were included in the review, from which nine social support measures were identified. Attributes of the measures were searched from their referenced papers and described in terms of their reported psychometric properties.

CONCLUSIONS

Through the identification of the measures of social support and ensuring its accurate measurement, direction can be provided for intervention by allowing professionals to detect and address social support available. Future recommendations for research are made.

How Grandparents Experience the Death of a Grandchild With a Life-Limiting Condition

Traditionally, family-focused care extends to parents and siblings of children with life-limiting conditions. Only a few studies have focused on the needs of grandparents, who play an important role in the families of children with illness and with life-limiting conditions, in particular. Interpretative phenomenological analysis was used as the methodological framework for the study. Seven bereaved grandparents participated in this study. Semistructured, individual, face-to-face interviews were conducted. A number of contextual factors affected the experience of bereaved grandparents, including intergenerational bonds and perceived changes in role following the death of their grandchild. The primary motivation of grandparents stemmed from their role as a parent, not a grandparent. The breadth of pain experienced by grandparents was complicated by the multigenerational positions grandparents occupy within the family. Transition from before to after the death of a grandchild exacerbated the experience of pain. These findings about the unique footprint of grandparent grief suggest the development of family nursing practice to better understand and support grandparents during the illness of a grandchild, in addition to bereavement support.

The Association of Grandparent Care with Childhood Overweight and Obesity in Chinese American Families

BACKGROUND

Grandparents are often the caretakers of children in Chinese American families. Studies have shown that Chinese grandparents underestimate the weight of their grandchildren and associate food with increased height and strength. This study examines the association of grandparental care with weight status in Chinese American children and adolescents.

METHODS

This is a cross-sectional study of 12,029 Chinese American pediatric patients ages 2-19 at a community health center in New York City in 2015. Grandparental care was defined as child care provided by at least one grandparent. Multivariable logistic regression was conducted to assess for association between having a grandparent caretaker and weight status in the age groups 2-5, 6-11, and 12-19 while adjusting for sex, place of birth, neighborhood poverty, and two-parent households.

RESULTS

Approximately 12% of Chinese American children in this population had a grandparent caretaker. Children and adolescents with grandparent caretakers are more likely to be overweight than their counterparts with no grandparent caretakers at ages 6-11 (odds ratio [OR]: 1.48; 95% confidence interval [CI]: 1.23-1.79) and ages 12-19 (OR: 1.54; 95% CI: 1.18-2.02). No association was found between grandparental care and overweight in ages 2-5 nor with obesity in any age group.

CONCLUSIONS

Grandparental care is associated with the weight of school-age children and adolescents. Targeted education on appropriate nutrition for the child's age is needed for grandparents who take care of children.

Motherhood Penalties and Living Arrangements in China

Past research on the "motherhood wage penalty" has all been based on data from nuclear families, leaving open the possibility that the motherhood wage penalty may be lower or even absent in multi-generational families. In this paper, the wage gap between mothers and non-mothers is examined in both nuclear and multi-generational families in the context of contemporary China, which has a long tradition of patriarchal families. Using 1993-2006 China Health and Nutrition Survey data, the magnitude and variation of motherhood penalty is explored with fixed effects models among 1,058 women. It is found that each additional child lowers hourly wages by about 12 percent. In addition, the results show that the motherhood penalty is largest for women living with husband's parents, smaller for women not living with parents, and nil for women living with their own parents.

Childcare by grandparents in married and cohabiting couples: evidence from Italy

The process of union formation and the context of childrearing have profoundly changed with the spread of cohabitation in the last few decades. It is only recently that some attention has been paid to the implications of these changes for family ties. This study considers, with reference to Italy, a specific relationship between individuals in couples and their family of origin - childcare by grandparents. The aim of the paper is twofold. First, we investigate whether children of cohabiting couples are cared for by their grandparents to a lower extent compared to children of married couples. Second, the current study examines whether potential differences decrease over time. The data used are from two rounds of cross-sectional and nationally representative survey conducted in Italy in 2003 and in 2009. Our results show that in 2003 both in the provision and the intensity of grandparents' childcare, children of cohabiting parents were less likely to have their grandparents involved than children of married parents. However, the differences between marriages and cohabitations disappear in recent years.

Partner Support and Grandparent Support as Predictors of Change in Coparenting Quality

Young ethnic minority parents may lack psychological and financial resources to handle parenthood, increasing the risk of negative psychosocial and parenting outcomes. Partner support has been associated with positive coparenting, although findings have been mixed. Support from young parents' own parents ("grandparents") has been linked to adaptive family outcomes and may be particularly protective for African American and Latino parents whose cultures espouse interdependence. This study examined partner support and grandparent support as individual predictors of change in coparenting quality, and tested whether grandparent support moderated the relationship between partner support and change in coaprenting quality over the first postpartum year. Participants were 136 African American and Latina adolescent mothers (age range=15-21 years) and their babies' fathers (15-41 years). Partner and grandparent support were measured at 6 months postpartum. Coparenting quality was measured at 6 and 12 months postpartum, and change in coparenting quality was measured using latent change scores. Structural equation modeling was used to test the hypothesis that the relationship between partner support and change in coparenting quality would be moderated by grandparent support. Fit indices indicated a well-fitted model. Results demonstrated that the moderator term (partner support × grandparent support) significantly predicted change in coparenting quality. Specifically, partner support was positively associated with changes in coparenting quality when grandparent support was high; however, that association became weaker and changed direction for lower levels of grandparent support. Findings highlight the need to assess parents' social support networks and grandparents' impact on the coparenting quality of this at-risk population.

Exploring Grandparents' Roles in Young Children's Lifestyle Behaviors and the Prevention of Childhood Obesity: An Australian Perspective

Childhood obesity remains a significant public health issue. Because lifestyle behaviors and weight are established early and track through life stages, prevention strategies must commence in the first years of life. Traditionally, such strategies target parents or formal child care providers. Yet grandparents are increasingly providing care to grandchildren and therefore have an important role in their eating and activity behaviors, which creates a major research gap. This commentary piece, focusing on the Australian context, argues that it is imperative and timely for obesity prevention research to include investigations regarding the role of grandparents in the prevention of obesity-related behaviors in young children.

Exploring Grandparents' Roles in Young Children's Lifestyle Behaviors and the Prevention of Childhood Obesity: An Australian Perspective

Childhood obesity remains a significant public health issue. Because lifestyle behaviors and weight are established early and track through life stages, prevention strategies must commence in the first years of life. Traditionally, such strategies target parents or formal child care providers. Yet grandparents are increasingly providing care to grandchildren and therefore have an important role in their eating and activity behaviors, which creates a major research gap. This commentary piece, focusing on the Australian context, argues that it is imperative and timely for obesity prevention research to include investigations regarding the role of grandparents in the prevention of obesity-related behaviors in young children.

Contributions of nonmaternal caregivers to infant feeding in a low-income African-American sample

Infant feeding is a well-established topic of interest in obesity research, yet few studies have focused on contributions of nonmaternal caregivers (NMCs)-such as fathers, grandparents, and daycare providers-to infant feeding. Data from the Infant Care, Feeding and Risk of Obesity Project in North Carolina were used to investigate (a) which factors were associated with NMC feeding styles and (b) how NMCs' and mothers' feeding styles compared. Multivariate regression models utilizing random effects were used to analyse data from 108 NMCs who were identified by mothers as being heavily involved in infant feeding. Feeding styles were measured using the Infant Feeding Style Questionnaire. Several individual characteristics were important. Higher laissez faire-attention scores were reported by men and NMCs who lived in the same household as infant. Men reported higher indulgent-coax and indulgent-pamper scores. Perceptions of fussier infants, older infant age, and higher infant weight-for-length z-scores were also important. Mothers' and NMCs' feeding styles differed. Compared with mothers, grandparents reported lower laissez faire and indulgent-permissive scores. Fathers reported higher pressure-soothe and indulgent scores. Daycare providers reported higher restriction-diet quality and responsive satiety. Feeding styles were also predicted to change over time for all caregiver types. These findings highlight the importance of helping all caregivers develop skills that will promote optimal infant feeding outcomes. Given the paucity of research in this area, it is important to improve our understanding of what influences caregivers' feeding styles, especially among diverse populations, and how exposure to different feeding styles may shape children's obesity risk.